Doctor Name: | BART HEBERT |
NPI Number: | 1245349083 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 2936-024 |
Business Practice Address: | 8554 Hwy 51 North Minocqua, WI - 54548 |
Business Phone Number: | 7153581929 |
Business Fax Number: | 7153564031 |
Mailing Address: | Po Box 11, MINOCQUA |
State: | WI |
Postal Code: | 545480011 |
Phone Number: | 7153581929 |
Fax Number: | 7153564031 |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 04/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 2936-024 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |